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Updated: Jun 8, 2026

Three-Dimensional Printing of a Complex Aortic Anomaly
Published on: November 1, 2018
Rupture of Kommerell diverticulum after total arch replacement
Kota Agematsu1, Tetsuyuki Ueda, Shuichi Hoshino
1Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama City, Toyama 930-8550, Japan. agematsuagain@yahoo.co.jp
Abstract:
A 62-year-old man was brought to the emergency room of our hospital because of chest pain. Computed tomography revealed a right aortic arch and an aberrant left subclavian artery with Kommerell diverticulum and acute aortic dissection (Stanford type A). Total arch replacement was performed emergently through a median full sternotomy. A stomach feeding tube was placed postoperatively for the patient to receive nutrition, and esophageal bleeding was observed postoperatively. The patient died because of the bleeding. Autopsy findings showed a communication between the esophagus and Kommerell diverticulum. Rupture of Kommerell diverticulum and perforation of the esophagus were indicated.
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